Loading...
HomeMy WebLinkAbout2408 SACADA CIR; ; 80-874; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my li,;,u,~91.is In full force and ef- fect. ,R DECLARATION DI hereby affirm that I am exempl from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state- menl lhat he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). 0 1. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or of- fered for sale (Sec. 70.4, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such improvements are not Intended or of• fered for sale. If, however, the building or Improve- ment Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). CITY OF CARLSBAO-BUILOING OEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENU E (7 14) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. 111 l/io.-~1 I SAC11f1~Ai-I I I ;?.~R;ftr~/4//rL) I AV, ST. IDATE OF APPLICATION RD ~ I I I I I I I \ \ -\ 0 ' !<SU~~~ Q ~\)~~ PRIME CONTRACTOR ?lll L~ l"'C... I STATE LICENSE Fis\\>(\-.... ~ ,h JL"?.~ N~-"'~5o-"' t.\.15~ t~.rL~ OWNER'S MAILING LOT l'f1 OWNER'S PHONE _:)_'-f6x ~~As '1 '1f~3A5~S ii-re~~\~'~ ~~~~~AC~R'S c~Dl~'c,s+,,. ~~ DESIGNER DESCRIPTION O~~RK ~ / ~0 v-,Q.._.. l-0(:)~ L.f C)i) DESIGNER'S ADDRESS DESIGNER'S PHONE BLOCK eus. LICENSE flro17 STATE LICENSE PERMIT NUMSER ~o-j//LJ CENSUS TRACT GP LAND USE ;;- [,/2 I/ :'f' ZONING 1 RES. UNITS lJ.rG SPACE I NUMBER OF STORIES Not Valid Unless Madlin. CMtifi«J SLOG SO. FT. BLDG USE occ. GP TSTANDARD PLAN "'--1~a~? 7b ITYPE CONST AMT. II QTY.I M ECHANICAL ~IT l occ. LOAD l QTY. PLUMBING PERMIT AMT . EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT ~-<Tt BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS ·/L. 01. BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP • w ~ '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and ProfesslQils Code: The Contractor's License Law ~nl EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM ~ . tJl VENT FAN Sll!GLE DUCT MECH EXHAUST -HOOD/DUCTS 7/~ 'iool( -- 0 ~ ~ ply to an owner of property t•ho bui s b proves thereon, and who contracts for ch jects with a contractor(s) license pursua contractor's License Law). I am exempt under Sec _____ "'. ' for this reason c,.;;:r "- Date Owner WATER SOFTl'tER ~ TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT RELOCATION OF EA FURNACE/HEATER < ?~ ...,,, .,,,,,,,,,,,_.,../.J.1 q . {ff, TOTAL MECHANICAL CONTRACTOR AMT. QTY. MOBILE HOME PERMIT WORKERS' COMPENSATION DECLARATION I NEW CONST EA AMP/SWT/BKR T:;fV II I AWNING I hareby affirm that I have a certificate of con· 1 PH .25 3 PH • PORCH sent to self-Insure, o, a certificate of Workers' EXIST BLOG EA AMP/SWT/BKR SET-UP Compensation Insurance, or a certified copy • J'(!--r II SIGN PERMIT , PLAN CHECK ALL INCLUSIVE PERMIT I TOTAL PLUMBING AMT. ELECTRICAL MECHANICAL thereof (Sec. 3800, La~>t; ~ W C-1 PH .25 3 PH • RAMADA, CABANA POLICY NO. I~ b REMODEL/ALTER PER CIRCUIT FENCE OVER 6' COMPANY '8t ~ , · &opy is filed with t~t>~::f..zo 11 • TEMP POLE 200 AMPS . TOTAL MOBILE HOME I • II ""~u "Lm _ □Certified copy Is hereby furnished. I u OVER 200 AMPS • u1rn_c11 u I I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per• mlt Is for one hundred dollars ($11)0) or less). I certify that In the performance of the work for which this permit Is Issued, I ~all not employ any person In ,q,y manner so as to become sublect to the Workers' Compensation Laws of California. N01 ICE TO APPLICANT: If, after making this Cer· tlflcate of Exemption, you should become subject t;? the Worker,· Compensation provisions of the Labor Code, you must forthwith comply with such proviajons or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance ol the work for whlr:h thi,i; nPrmlt ha hao11Al1 f~•r -,no-, r i .. 11 ,..,. .... \ TEMP OCCUPANCY (30 DAYSI ~Su.-L- TOTAL ELECTRICAL CONTRACTOR ~ .(T() 1, -c!V I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, ANO DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. TOTAL FEES PAYABLE ~ II ~-=,-~ •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER s·-o" DEEP AND DEMOLITION OR CONSTRUCTION OF STA~ll\J'---- I I . I I . ' I I . APPLIC,('!ln S &.Q~TURE-OWNERQ AGENT D CONTRACT~APPRO~~ BY PHnNF n l ~ I I I I I I I I I i= ::rl a.. <I) ~ ~'2 ,t DATE I LJi 1/,-#V" SITE ·-'30-¥74' ADDRESS: OWNER: • PERMIT.NO: \ FIELD INSPECTION RECORD \ INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS• SET BACK • T OILET .. . ' '. UNDER FLOOR PLUMBING . --- UNDER FLOOR HEATING ' \ -OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET OK TO P-OUR CONCRETE ,_ FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTIL ATING I j.. -FRAME OK • PLACE INSULATION ~ ' INSULATION OK • PLACE WALLBOARD ' WALLBOARD OK • PLACE TAP E . ' - EXTERIOR LATH OK • PLACE STUCCO FIREPLACE . :-·,_ ..---' ... -., -DAMPER &STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) - ,.. SEWER - GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN j .... FINAL INSP BY BLDG DEPT I ;_ .- OTHER DEPT'S REQ COMPLETED 11"/ I -✓ ' .. ELEC METER-PERM-TEMP l !ttJ1 A I _,4_/ GAS METER-PERM-TEMP IV Al/ /v , I" -~ CERT OF OCCUPANCY ISSUED --